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Organization
KIM O NGUYEN O D INC
Active
Organization
KIM O NGUYEN O D INC
Active
Other names
Alicia Valencia Eyecare Center of Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM OANH NGUYEN O.D. (PRESIDENT)
(949) 951-8001
Entity
Organization
Contact information
Practice address
25401 ALICIA PKWY, SUITE E, LAGUNA HILLS, CA 92653-4958
(949) 951-8001
(959) 951-1552
Mailing address
25401 ALICIA PKWY STE E, LAGUNA HILLS, CA 92653-4958
(949) 951-8001
(959) 951-1552
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT11972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB228572
MEDICARE PTAN
CA
Enumeration date
11/30/2011
Last updated
09/30/2025
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